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혈액 투석 대기중 불안과 조절위 성격 특성과의 관계에 관한 연구
박금옥,김종임,김현리 충남대학교 의과대학 지역사회의학연구소 1992 충남의대잡지 Vol.19 No.2
The purpose of this study was to provide data to better nursing intervention and nursing care plan for preventing or decreasing anxiety of hemodialysis patient. The data was gathered from May 1st to June 30th, 1992. The data was analysis was used SPSS PC program frequency, mean, standard deviation, ANOVA, Pearson Correlation Coefficient and Chronbach' α for reliability of STAI and HLC scale were computed. The results are summarized as follows: 1. The hypothesis that the higher the level of external locus of control in personalty, the higher the level of state anxiety, was rejected.(r=0.665, P=0.0001) 2. The hypothesis that the higher the level of trait anxiety, the higher the level of state anxiety, was accepted.(r=0.675, p=0.0001) The author thought that the futher study are needed to assist the specialized nursing care and holistic care of hemodialysis patient.
혈당검사 방법 별 지각된 통증정도에 대한 비교 : 시각적 상사 척도 이용
최자윤,장금성,김현오,최옥엽,박민희 성인간호학회 2003 성인간호학회지 Vol.15 No.1
Purpose: The purpose of this study is to determine the level of pain related to a blood sugar test. Specifically, the study attempts to compare the varying degree of pains when different types of blood sugar test are used. Method: A sample of 56 subjects is composed of DM patients admitted to a medical ward of C university hospital in Gwangju. Data were collected from July, 2001 to December, 2001. The blood sugar tests were administered in four different ways: (1) the use of 27G needle only. (2) the use of 27G needle followed by ice-packed treatment, (3) the use of 27G needle after EMLA cream application, and (4) the use of lancet. The degree of pain is measured with a visual analogue scale and performed twice. Result: in both measures, the use of 27G needle only method is shown to cause the highest level of pain in comparison with the rest of methods (F=4.01, p=.01; F=8.14, p=.00). However, the differences in pain between time in all methods were not found to be significant (t=-.85, p=.40; t=.80, p=.42; t=.31, p=.75; t=.19, p=.85). Conclusion: The study results indicate that the method using lanceter is more recommendable than the use of 27G needle only method. Further research is needed to support the current study result with the use of different measurement scales and to determine effective methods of blood sugar test to lower pain and compliance.
Keum, Hyun Ok,Kim, Hye Kwon,Rho, Se Mi,Moon, Hyoung Joon,Park, Seong Jun,Park, Bong Kyun The Korean Society of Veterinary Science 2010 大韓獸醫學會誌 Vol.50 No.2
To determine the prevalence of Escherichia (E.) coli O157 : H7 from pigs after the Hazard Analysis and Critical Control Point (HACCP) system has been applied to Korean swine farm since 2006, 291 fecal samples were tested between May and December in 2008. Four E. coli O157:non-H7 (1.4%) were isolated from 4 different non-HACCP-accredited farms and they didn't have virulent genes which can cause illness for human. Also, Clostridium (C.) perfringens, Salmonella spp. and E. coli enterotoxins were tested using multiplex PCR. The positive rate for these pathogens of non-HACCP-accredited farms was higher than that of HACCP-accredited farms, and especially in case of C. perfringens, E. coli enterotoxins LT and STa, it was statistically significant (p < 0.05). Thus, the early implementation of the HACCP program is expected to greatly contribute to the safety of livestock products as well as food hygiene.
Determination of Deoxynivalenol in Cereal-Based Foods and Estimation of Dietary Exposure
Ok, Hyun Ee,Kim, Hyun Jung,Cho, Tae Yong,Oh, Keum Soon,Chun, Hyang Sook Informa UK (TaylorFrancis) 2009 Journal of toxicology and environmental health. Pa Vol.72 No.21
<P>Deoxynivalenol (DON) is a trichothecene mycotoxin. DON contamination in agricultural food staples such as wheat, barley, and maize due to Fusarium colonization is an increasing problem. In order to provide risk managers with better guidance for regulatory measures, the concentration of DON in cereal-based foods (n = 689), collected from six cities between June 2005 and August 2008, was determined. Further, dietary exposure to DON was estimated by combining data on DON concentration in these foods with their consumption rates. Among 689 samples, 272 samples (39%) were contaminated with DON. Relatively high DON concentrations were found in dried corn, with a mean concentration of 109 mug/kg (n = 74). Daily intake of DON simulated by the @Risk program was estimated to between 0.066 and 0.142 mug/kg body weight (bw)/d for males and between 0.066 and 0.144 mug/kg bw/d for females. The major contributor to DON exposure in the 50th and 95th percentile intake groups was polished rice. For each age class, young children (3-6 yr) showed the highest relative intake, with a mean intake of 0.142 mug/kg bw/d for males and 0.144 mug/kg bw/d for females. However, the estimated daily DON intake did not exceed the provisional maximum tolerable daily intake (1 mug/kg bw/d) for any age group or gender. From our risk assessment, it was concluded that the current intake of DON in South Korea may not serve as a serious health hazard.</P>
미국 폰즈스쿨의 임상치위생학 교육과정 분석을 통한 국내 임상치위생학 교육과정에 관한 고찰
최용금 ( Yong-keum Choi ),임근옥 ( Keun-ok Lim ),한양금 ( Yang-keum Han ),배수명 ( Soo-myoung Bae ),신보미 ( Bo-mi Shin ),안세연 ( Se-youn Ahn ),전현선 ( Hyun-sun Jeon ),김진 ( Jin Kim ),장선옥 ( Sun-ok Jang ),김혜진 ( Hye-jin Ki 한국치위생과학회 2017 치위생과학회지 Vol.17 No.2
본 연구에서는 국제적인 치위생계의 임상실무와 교육의 표준인 치위생 관리 과정을 기반으로 표준화된 치위생 교육기관인 미국 폰즈스쿨의 임상치위생학 교육과정에 대해 심층분석 함으로써 국내 실정에 맞는 임상치위생학 교육과정의 표준화 방안에 대해 고찰해 보고자 하였다. 2015∼2016년 폰즈스쿨의 임상치위생학은 모두 `Dental Hygiene Clinical Practice (DHYG)`라는 과목명으로 운영되었고, 실습의 비중이 매우 컸으며, 실습강의는 교수 1명당 학생 5명이 한 팀으로 운영되었다. 폰즈스쿨의 학과 목표는 브릿지포트 대학교의 미션에 따라 설정되었고, 폰즈스쿨의 임상치위생학 교육목표 또한 폰즈스쿨의 학과 목표에 기반하여 설정되었다. 또한, 임상치위생학의 교육목표는 ADHA에서 제시한 치위생임상 실무표준에 따라 개발되었고, 이를 기반으로 임상치위생학 교육을 통해 달성해야 하는 임상 핵심역량과 세부역량을 제시하고 있었다. 임상치위생학 교육내용은 다양한 대상자에게 적절한 치위생 관리 과정을 제공하기 위한 이론 및 실습으로 구성되었고, 특히, 졸업 후 실제 임상 현장에서 수행하게 될 업무에 대한 실습내용이 다뤄졌다. 학생은 대상자/환자별로 수행한 술식에 문서를 작성하여 교수자와 함께 검토 및 보완작업을 통해 치위생 임상역량을 높이고자 하였다. 실습내용 중 치위생 관리 과정 실습은 필수적으로 어린이, 청소년, 성인, 노인, 특별환자를 대상으로 선정해야하며, 구강 상태에 따라 중등도 이상의 치주환자를 포함해야 했다. 이론평가는 지필고사 혹은 사례연구 발표 등으로 이루어졌고, 실습평가는 주로 임상역량의 달성 정도에 따라 평가되었다. 특히 교수자의 로테이션 평가를 실시하였는데, 이를 통해 모든 학생의 임상역량 달성 정도를 파악하고 부족한 역량에 대해 개선방안을 함께 모색하는 과정을 수행하였다. 본 연구는 ADHA에서 제시하는 치위생임상 실무표준에 따라 운영되고 있는 표준화된 임상치위생학 교육과정을 심층적으로 분석함으로써 향후 우리나라 임상치위생학의 개선방향을 모색하기 위한 기초 자료로 제시될 수 있을것이라 판단되었다. The aim of this study was to analyze in depth the standardized Clinical dental hygiene curriculum of the Fones School in the United States. We investigated the clinical dental hygiene curriculum in 2015∼2016 including title, credit, hours, contents, goals, competencies, and evaluation. We obtained the course syllabus and data related to each subject, for each grade, from the professors and students at the university. The goals and competencies, of the clinical dental hygiene program, which were based on the goals of the Fones School and the mission of the University of Bridgeport, were developed in accordance with the dental hygienist practice standards proposed by the American Dental Hygienists Association. The curriculum consisted of theory to teach proper dental hygiene care procedures and incorporated practical exercises that modeled an actual clinical setting. The students had to document the procedures performed for each client/patient and improve their clinical competency through discussion with the professors. Dental hygiene care should be provided for children, adolescents, adults, elderly, and patients, which includes patients with moderate or severe periodontal status. Students were evaluated by a paper test or case study presentation and their clinical evaluation was based on their clinical competency. In particular, professors evaluated students on a rotational basis, so they could evaluate the level of achievement of clinical competency of all students and find ways to improve any weaknesses. Therefore, the current study suggested that clinical dental hygiene program in Korea could be improved if based on the curriculum of Fones School in the United States.